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1. 发明授权

US09776008B2 Posture state responsive therapy delivery using dwell times 有权
公开(公告)号：US09776008B2
公开(公告)日：2017-10-03
申请号：US12433017
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Eric J. Panken
发明人： Dennis M. Skelton , Jon P. Davis , Eric J. Panken
IPC分类号： A61N1/00 , A61N1/365 , A61B5/11 , A61B5/00
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535 , G06F19/00
摘要： Techniques related to classifying a posture state of a living body are disclosed. One aspect relates to sensing at least one signal indicative of a posture state of a living body. Posture state detection logic classifies the living body as being in a posture state based on the at least one signal, wherein this classification may take into account at least one of posture and activity state of the living body. The posture state detection logic further determines whether the living body is classified in the posture state for at least a predetermined period of time. Response logic is described that initiates a response as a result of the body being classified in the posture state only after the living body has maintained the classified posture state for at least the predetermined period of time. This response may involve a change in therapy, such as neurostimulation therapy, that is delivered to the living body.

2. 发明申请

US20100010381A1 POSTURE STATE RESPONSIVE THERAPY DELIVERY USING DWELL TIMES 有权
标题翻译：使用DWELL时间的心理状态的治疗方法
公开(公告)号：US20100010381A1
公开(公告)日：2010-01-14
申请号：US12433017
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Eric J. Panken
发明人： Dennis M. Skelton , Jon P. Davis , Eric J. Panken
IPC分类号： A61B5/103
CPC分类号： A61N1/36542 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/7264 , A61B2562/0219 , A61N1/36535 , G06F19/00
摘要： Techniques related to classifying a posture state of a living body are disclosed. One aspect relates to sensing at least one signal indicative of a posture state of a living body. Posture state detection logic classifies the living body as being in a posture state based on the at least one signal, wherein this classification may take into account at least one of posture and activity state of the living body. The posture state detection logic further determines whether the living body is classified in the posture state for at least a predetermined period of time. Response logic is described that initiates a response as a result of the body being classified in the posture state only after the living body has maintained the classified posture state for at least the predetermined period of time. This response may involve a change in therapy, such as neurostimulation therapy, that is delivered to the living body.
摘要翻译：公开了对活体姿势状态进行分类的技术。一个方面涉及感测指示生物体的姿势状态的至少一个信号。姿势状态检测逻辑基于至少一个信号将生物体分为处于姿势状态，其中该分类可以考虑活体的姿势和活动状态中的至少一个。姿势状态检测逻辑进一步确定生物体是否至少在预定时间段内分类为姿势状态。描述了响应逻辑，其仅在生物体至少在预定时间段内保持分类姿势状态之后，作为身体被分类为姿势状态的结果而发起响应。这种反应可能涉及到递送到生物体的治疗方法，如神经刺激疗法。

3. 发明授权

US08758274B2 Automated adjustment of posture state definitions for a medical device 有权
标题翻译：自动调整医疗器械的姿势状态定义
公开(公告)号：US08758274B2
公开(公告)日：2014-06-24
申请号：US12769431
申请日：2010-04-28
申请人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
发明人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
IPC分类号： A61B5/00
CPC分类号： A61B5/4839 , A61B5/021 , A61B5/024 , A61B5/0476 , A61B5/0488 , A61B5/1116 , A61B5/1118 , A61B5/14532 , A61B5/686 , A61B5/7264 , A61B5/7282 , A61B5/742 , A61B5/7475 , A61B2560/0223 , A61B2560/0475 , A61N1/36071 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/324 , G16H50/20
摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.
摘要翻译：技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

4. 发明申请

US20110172927A1 AUTOMATED ADJUSTMENT OF POSTURE STATE DEFINITIONS FOR A MEDICAL DEVICE 有权
标题翻译：自动调整医疗器械的姿态定义
公开(公告)号：US20110172927A1
公开(公告)日：2011-07-14
申请号：US12769431
申请日：2010-04-28
申请人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
发明人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
IPC分类号： G06F19/00
CPC分类号： A61B5/4839 , A61B5/021 , A61B5/024 , A61B5/0476 , A61B5/0488 , A61B5/1116 , A61B5/1118 , A61B5/14532 , A61B5/686 , A61B5/7264 , A61B5/7282 , A61B5/742 , A61B5/7475 , A61B2560/0223 , A61B2560/0475 , A61N1/36071 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/324 , G16H50/20
摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.
摘要翻译：技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

5. 发明申请

US20110172562A1 AUTOMATED CALIBRATION OF POSTURE STATE CLASSIFICATION FOR A MEDICAL DEVICE 有权
标题翻译：自动校准医疗器械的状态分类
公开(公告)号：US20110172562A1
公开(公告)日：2011-07-14
申请号：US12769391
申请日：2010-04-28
申请人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
发明人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
IPC分类号： A61B5/103
CPC分类号： A61B5/4839 , A61B5/021 , A61B5/024 , A61B5/0476 , A61B5/0488 , A61B5/1116 , A61B5/1118 , A61B5/14532 , A61B5/686 , A61B5/7264 , A61B5/7282 , A61B5/742 , A61B5/7475 , A61B2560/0223 , A61B2560/0475 , A61N1/36071 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/324 , G16H50/20
摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state of the patient to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.
摘要翻译：技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。可以通过将检测到的患者的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

6. 发明授权

US09149210B2 Automated calibration of posture state classification for a medical device 有权
标题翻译：自动校准医疗器械的姿势状态分类
公开(公告)号：US09149210B2
公开(公告)日：2015-10-06
申请号：US12769391
申请日：2010-04-28
申请人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
发明人： Rajeev M. Sahasrabudhe , Lynn Davenport , Jon P. Davis , Wende L. Dewing , Elizabeth A. Fehrmann , Steven Goetz , Shyam Gokaldas , Eric J. Panken
IPC分类号： A61B5/11 , A61B5/00 , A61N1/36 , A61B5/021 , A61B5/024 , A61B5/0476 , A61B5/0488 , A61B5/145 , A61N1/365 , A61N1/372 , G06F19/00
CPC分类号： A61B5/4839 , A61B5/021 , A61B5/024 , A61B5/0476 , A61B5/0488 , A61B5/1116 , A61B5/1118 , A61B5/14532 , A61B5/686 , A61B5/7264 , A61B5/7282 , A61B5/742 , A61B5/7475 , A61B2560/0223 , A61B2560/0475 , A61N1/36071 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/324 , G16H50/20
摘要： Techniques relate to operating a medical device by classifying a detected posture state of a patient. This classification may be performed by comparing the detected posture state to posture state definitions available within the system. Each definition may be described in terms of a parameter (e.g., vector) indicative of a direction in three-dimensional space. The posture state definitions may be calibrated by automatically estimating values for these parameters, thereby eliminating the need for the patient to assume each posture state during the calibration process to capture actual parameter values. According to another aspect, the estimated parameter values may be updated as the patient assumes various postures during a daily routine. For instance, estimated vectors initially used to calibrate the posture state definitions may be changed over time to more closely represent posture states the patient actually assumes, and to further adapt to changes in a patient's condition.
摘要翻译：技术涉及通过对检测到的患者的姿势状态进行分类来操作医疗装置。可以通过将检测到的姿势状态与系统内可用的姿势状态定义进行比较来执行该分类。可以根据指示三维空间中的方向的参数（例如，矢量）来描述每个定义。可以通过自动估计这些参数的值来校准姿势状态定义，从而消除了在校准过程期间患者承担每个姿势状态以捕获实际参数值的需要。根据另一方面，当患者在日常例行程序中呈现各种姿势时，可以更新所估计的参数值。例如，最初用于校准姿势状态定义的估计矢量可以随着时间而改变以更加紧密地表示患者实际假定的姿势状态，并进一步适应患者状况的变化。

7. 发明授权

US09956412B2 Linking posture states for posture responsive therapy 有权
公开(公告)号：US09956412B2
公开(公告)日：2018-05-01
申请号：US12433827
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas
IPC分类号： A61N1/00 , A61N1/36 , A61B5/11 , G06F19/00 , A61N1/365 , A61B5/00
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/00 , G06F19/3418 , G16H10/60 , G16H40/63 , G16H40/67 , G16H50/20
摘要： The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include a user interface that receives user input linking a plurality of posture states of a patient, and selecting a set of therapy parameter values for delivery of therapy to the patient for each of a linked posture states, a processor that defines the therapy to be delivered to the patient for each of the linked posture states based on the selection, and an implantable medical device that delivers the therapy to the patient for each of the linked posture states based on the selection.

8. 发明授权

US09662045B2 Generation of sleep quality information based on posture state data 有权
公开(公告)号：US09662045B2
公开(公告)日：2017-05-30
申请号：US12433632
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas
发明人： Dennis M. Skelton , Jon P. Davis , Rajeev Sahasrabudhe , Shyam Gokaldas
IPC分类号： A61B5/00 , A61B5/11 , A61N1/372 , A61N1/05 , A61N1/36 , A61N1/365
CPC分类号： A61B5/1116 , A61B5/0031 , A61B5/1118 , A61B5/4815 , A61B5/6846 , A61B5/686 , A61B2560/0219 , A61N1/0551 , A61N1/36071 , A61N1/36078 , A61N1/36085 , A61N1/36107 , A61N1/36132 , A61N1/36535 , A61N1/37247 , A61N1/37282 , G06F19/00
摘要： This disclosure describes techniques for generation of sleep quality information based on posture state data. The techniques may include obtaining posture state data sensed by a medical device for a patient, generating sleep quality information based on lying posture state changes indicated by the posture state data, and presenting the sleep quality information to a user via a user interface.

9. 发明授权

US08886302B2 Adjustment of posture-responsive therapy 有权
标题翻译：调整姿势反应疗法
公开(公告)号：US08886302B2
公开(公告)日：2014-11-11
申请号：US12433684
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis
发明人： Dennis M. Skelton , Jon P. Davis
IPC分类号： A61N1/08 , G06F19/00 , A61N1/36 , A61B5/11 , A61N1/372 , A61B5/00 , A61M5/172 , A61N1/365 , A61M37/00 , A61M5/142
CPC分类号： A61N1/36132 , A61B5/1116 , A61B5/1118 , A61B5/686 , A61B5/743 , A61B2560/0219 , A61B2562/0219 , A61M5/14276 , A61M5/1723 , A61M37/00 , A61M2205/054 , A61M2230/62 , A61N1/36071 , A61N1/36135 , A61N1/36535 , A61N1/37247 , G06F19/00 , G06F19/3418 , G06F19/3481 , G16H40/63
摘要： In general, the disclosure relates to the delivery of therapy according to a detected posture state of a patient. The disclosure contemplates a variety of techniques for managing therapy delivered to a patent. In one example, the disclosure relates to a technique including delivering therapy to a patient from a medical device, wherein the therapy is delivered to the patient according to a detected posture state of the patient; and automatically adjusting at least one aspect of the therapy delivered from a medical device based at least in part on one or more of time or patient posture state behavior, wherein automatically adjusting at least one aspect of therapy comprises suspending at least one aspect of the therapy or decreasing a posture state detection frequency.
摘要翻译：通常，本公开涉及根据检测到的患者的姿势状态的治疗的递送。本公开考虑了用于管理递送到专利的治疗的各种技术。在一个示例中，本公开涉及一种技术，包括从医疗装置向患者递送治疗，其中根据患者的检测到的姿势状态将治疗递送给患者; 以及至少部分地基于时间或患者姿势状态行为中的一个或多个自动地调整从医疗装置递送的治疗的至少一个方面，其中自动调整治疗的至少一个方面包括暂停治疗的至少一个方面或降低姿势状态检测频率。

10. 发明授权

US08755901B2 Patient assignment of therapy parameter to posture state 有权
标题翻译：患者分配治疗参数到姿势状态
公开(公告)号：US08755901B2
公开(公告)日：2014-06-17
申请号：US12433839
申请日：2009-04-30
申请人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
发明人： Dennis M. Skelton , Jon P. Davis , Shyam Gokaldas , Rajeev Sahasrabudhe
IPC分类号： A61N1/00
CPC分类号： A61N1/36135 , A61B5/1116 , A61B5/686 , A61B5/7435 , A61B2560/0219 , A61B2562/0219 , A61N1/36535 , A61N1/36542 , G06F19/00 , G06F19/3418 , G16H10/60 , G16H40/63 , G16H40/67 , G16H50/20
摘要： The disclosure is directed towards posture-responsive therapy. To avoid interruptions in effective therapy, an implantable medical device may include a posture state module that detects the posture state of the patient and automatically adjusts therapy parameter values according to the detected posture state. A system may include an implantable medical device that delivers therapy to a patient according to a set of therapy parameter values while the patient occupies a first posture state, a user interface that receives patient input associating one or more of the therapy parameter values with a second posture state different from the first posture state, and a processor that automatically defines therapy for delivery to the patient when the patient occupies the second posture state based on the associated therapy parameter values.
摘要翻译：本公开涉及姿势响应疗法。为了避免有效治疗中断，可植入医疗装置可以包括检测患者的姿势状态的姿势状态模块，并且根据检测到的姿势状态自动调整治疗参数值。系统可以包括可植入医疗装置，其在患者占据第一姿势状态时根据一组治疗参数值向患者递送治疗;接收患者输入的用户界面，所述患者输入将所述治疗参数值中的一个或多个与第二个姿势状态与第一姿势状态不同的处理器，以及处理器，其基于相关联的治疗参数值，当患者占据第二姿势状态时，自动地定义用于递送给患者的治疗。

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